The Department of Justice has announced its 2026 National Health Care Fraud Enforcement Action, charging 455 defendants, including 90 doctors and other licensed medical professionals, in schemes involving over $6.5 billion in alleged false claims and significant patient harm. This coordinated nationwide effort spans 56 federal districts and 45 U.S. states and territories, marking a new era of cooperation among federal, state, and international agencies to combat health care fraud and opioid abuse.
The enforcement action saw unprecedented participation from 50 state Medicaid Fraud Control Units and resulted in the apprehension and return of health care fraudsters from Kyrenia, Estonia, and the Philippines. Authorities seized over $182 million in assets, including cash, luxury vehicles, and jewelry. Beyond criminal charges, the Centers for Medicare and Medicaid Services (CMS) suspended 1,079 providers and revoked billing privileges for 1,403. The U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) secured over $73 million in civil monetary payment settlements and initiated actions seeking more than $10 billion from payments caught and suspended by CMS. Additionally, the Drug Enforcement Administration (DEA) has pursued 928 administrative cases since October 1, 2025, to revoke authority for handling or prescribing controlled substances.
"These schemes represent a direct attack on the integrity of federally funded health care programs. Fraudulent billing, false claims, and the failure to return federal funds are unacceptable and a blatant abuse of programs meant to support the American public," said Jennifer Runyan, Special Agent in Charge of the FBI Detroit Field Office. Department of Health and Human Services Inspector General T. March Bell added, "The cases announced today demonstrate not only the scale, but the seriousness of the misconduct uncovered, ranging from patient harming schemes to multibillion dollar fraud operations."
In the Eastern District of Michigan, United States Attorney Jerome F. Gorgon, Jr. announced charges in six cases. Hasan "Lucas" Seyhun of Miami, Florida, was indicted for conspiracy to commit healthcare fraud and money laundering in connection with an alleged $566 million billing fraud related to Fast Lab Technologies and COVID-19 testing. Emad Hamdan and Raeyfah Baiz of Michigan were charged with conspiracy to commit health care fraud for a pharmacy shortage scheme that allegedly caused at least $1.9 million in loss to Medicare, Medicaid, and Blue Cross Blue Shield. Christopher Dzialo, formerly of Grosse Pointe Farms, Michigan, faced charges of mail fraud and healthcare fraud for submitting over $158,000 in false pharmacy and medical insurance claims.
Furthermore, Reno Dandy and Francina Kirk of Michigan were charged with conspiracy to distribute controlled substances, including Oxycodone and Percocet, through Grace Medical Clinic, resulting in the unlawful prescription of over 400,000 dosage units with an estimated street value exceeding $7 million. Civil resolutions in the district included McLaren Health Care Corporation agreeing to pay $1.9 million for failing to timely repay overpayments, and Jason Herzog, former CEO of Avertest, settling for $150,000 over allegations of false claims related to drug test results. Authorities affirm their commitment to holding accountable anyone who exploits taxpayer-supported health care systems.